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This version of the form is not currently in use and is provided for reference only. Download this version of
VA Form 21-8940
for the current year.
VA Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability
What Is VA Form 21-8940?
VA Form 21-8940, Veteran's Application for Increased Compensation Based on Unemployability is a form released by the Department of Veteran Affairs (VA) and submitted in order to get a Total Disability Individual Unemployability (TDIU) benefit. The TDIU program allows a veteran to be compensated as 100% disabled, despite the fact that service-connected disabilities may not be equivalent to a 100% disability. The form was released on October 1, 2017 , and is available for download below.
Alternate Names:
- VA TDIU Form;
- Total Disability/Individual Unemployability Form.
People usually apply for the program when their service-connected disabilities stop them from performing a substantially gainful activity. This program is a very powerful tool for a veteran, allowing them to live on a sustainable income when their service-connected conditions, illness, injuries or disability prevent a veteran from working.
Filling out and submitting the VA Form 21-8940 allows you to avoid a denial. Usually, when you see the phrase "your claim for TDIU is administratively denied" it means you simply did not complete the form.
VA Form 21-8940 and 21-4192
The benefits to all military personnel physically challenged due to service-connected medical conditions are given by the VA. To receive the status of a challenged person a veteran has to go through the VA Disability Process. The best way to do this is within a year of the date of separation from the military. You may also be eligible for a VA Disability Back Pay, to make up for the time between the date of eligibility and the VA rating decision. In the case of leaving the army for medical reasons, the VA Disability Process starts automatically.
After the claim is submitted, the VA begins the process with the Compensation and Pension Exam (C&P Exam) to check the physical status of the veteran.
A veteran is also eligible to claim Individual Unemployability if they are unable to maintain a regular income. Anything that pays less than the amount established by the Department of Commerce does not count as a regular income. In this case, a VA Form 21-8940 should be submitted and sent to the VA.
After you start the process, your past employers will receive a VA Form 21-4192 in order to verify your employment history, the dates of employment and your reasons for leaving their place of work. The statement of a service-connected disability may be supported with evidence provided by a doctor.
VA Form 21-8940 Instructions
The 21-8940 may be one of the hardest VA applications to fill out. Usually, the main filling guidelines can be found inside the form, and some filling out tips and instructions can be found below. Get VA Form 21-8940 help and filing advice through the VA hotline at 1-800-827-1000.
How to Fill Out VA Form 21-8940
- Section I (Boxes 6-11). Box 6 answer what service-connected disability prevents you from working;
- Section II (Boxes 12-20). Answer when your disability started. Generally, it is sufficient to indicate the month and the year;
- Box 16. Enter the names and addresses of the places/companies you worked for. If this information is missing, the VA will send a notice requesting the information;
- The question about receiving or expecting to receive Disability Retirement benefits includes any Social Security benefits, such as SSD and SSI.
Where to Mail VA Form 21-8940?
Once the form is completed, it should be mailed to the VA Evidence Intake Center (PO Box 4444, Janesville, WI 53547-4444) or faxed to 844-531-7818 (Toll Free) or 248-524-4260 (Local).
Download VA Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability
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